blood draws and peripheral lines if necessary distal to a fistula, preferably on hand. from fistulafirst.org: “I am not aware of any studies dealing with this issue. With respect to the extremity with a functioning access, the general recommended practice by Fistula First is that blood draws should be done in the non-access hand, to preserve veins that may be needed for future access. The next place to consider would be the access extremity hand, or possibly higher but below the access, depending on the circumstances.”